Omer Adil, Engelman Ester, McClain Justin
Department of Internal Medicine, St. Vincent Charity Medical Center, Cleveland, OH, USA.
Department of Radiology, NYC Health + Hospitals/Harlem, New York, NY, USA.
Radiol Case Rep. 2018 Sep 14;13(6):1192-1194. doi: 10.1016/j.radcr.2018.08.016. eCollection 2018 Dec.
A 50-year-old man with a history of chronic pancreatitis due to alcoholism presented with dyspnea, at which time he was diagnosed with pleural effusions, treated, and discharged. Two months later, he was readmitted with hemoptysis and abdominal pain. CT and MRI of the chest demonstrated a mediastinal cystic mass that communicated with the retroperitoneum. Ultrasound-guided aspiration of the cystic mass revealed high levels of amylase, confirming that the mass was a rare pancreatic pseudocyst extending into the mediastinum.
一名50岁男性，有因酗酒导致慢性胰腺炎的病史，出现呼吸困难，当时被诊断为胸腔积液，接受治疗后出院。两个月后，他因咯血和腹痛再次入院。胸部CT和MRI显示一个纵隔囊性肿块，与腹膜后相通。超声引导下对囊性肿块进行穿刺抽吸，结果显示淀粉酶水平很高，证实该肿块是一个罕见的延伸至纵隔的胰腺假性囊肿。
